RomeoStevens comments on Lifestyle interventions to increase longevity - Less Wrong

120 Post author: RomeoStevens 28 February 2014 06:28AM

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Comment author: RomeoStevens 02 March 2014 03:17:25AM *  -1 points [-]

A lot of these studies point to the same small amounts of data. This article for example discusses a new study that again reanalyzes the Adventist study data http://www.nleducation.co.uk/resources/reviews/vegetarians-live-longer-and-healthier/

We don't really have anything better though. And what little evidence we have points towards ovo-lacto and pescatarians having better health.

Comment author: Xodarap 02 March 2014 05:26:35PM *  1 point [-]

And what little evidence we have points towards ovo-lacto and pescatarians having better health

Um, the article you linked seems to say that vegans are healthier:

  • Vegan All-cause mortality: HR 0.72, 95% CI 0.56-0.92
  • Pesco All-cause mortality: HR 0.81, 95% CI 0.69-0.94
  • Lacto-ovo All-cause mortality: HR 0.91, 95% CI 0.82-1
  • [Meat eaters presumably have an HR of 1]

The difference might not be significant, so I don't know that we would call this conclusive proof. But it seems like if you're going to lean one way, it would be towards vegans being healthier.

Especially since "animal products are bad" is a much simpler model than "animal products are bad, except for these few exceptions."

Comment author: RomeoStevens 21 July 2014 05:45:15PM *  -2 points [-]

This overview of studies is a reasonable place to look: http://www.veganhealth.org/articles/dxrates

Note the conclusion: even though several RR's look better for vegans, the data can't yet make a strong case that veganism is actually better than pesc or ovo-lacto vegetarian diets. In particular, 1.0 RR is often within the 95% CI.

This is also worth looking at if I forgot to link it anywhere else: http://ajcn.nutrition.org/content/93/1/158.short

Comment author: Xodarap 31 July 2014 02:30:40PM 1 point [-]

Right. So given that we don't actually have any evidence to support claims like "Ovo-lacto vegetarians live significantly longer than vegans" don't you think it makes sense to remove those claims?

Comment author: RomeoStevens 31 July 2014 07:21:17PM 0 points [-]

No, I'm in agreement with the article that this meta analysis is the best data we have. It finds significant improvements for fish, dairy, and eggs vs vegans.

Comment author: Lumifer 31 July 2014 07:38:52PM 0 points [-]

this meta analysis is the best data we have

It's 15 years old. I'm pretty sure there is more data available today.

Comment author: RomeoStevens 31 July 2014 08:02:01PM *  0 points [-]

There's a 2012 meta-analysis of longevity which did not separate out vegans, and a 2014 meta-analysis on blood pressure which also did not separate out vegans. If you have any pointers I'm glad to look at more.

Comment author: Lumifer 31 July 2014 08:12:55PM *  0 points [-]

No pointers, sorry. But for fun I searched PubMed for "vegan" and it came up with 3200 hits...

Random example thought not meta.

Comment author: RomeoStevens 01 August 2014 12:44:51AM *  0 points [-]

again look at confidence bounds. Most of the studies you'll find to simply lack the statistical power to make concrete recommendations. Fish seems unambiguously good and shows the largest effect sizes vs vegans (e.g. http://archinte.jamanetwork.com/article.aspx?articleID=1710093), I agree that ovo-lacto evidence is weaker, but I'll maintain that there is slight evidence in favor of it. Given that a diet including fish, eggs, and milk, is much much easier to adhere to it remains something I recommend. Remember that my approach to nutrition in the OP is that effect sizes are small and you should focus your efforts elsewhere.

I do appreciate you taking the time to argue this point, smacking various claims with a hammer is essential.

Comment author: Xodarap 06 September 2014 04:06:30PM 0 points [-]

I agree that ovo-lacto evidence is weaker, but I'll maintain that there is slight evidence in favor of it. Given that a diet including fish, eggs, and milk, is much much easier to adhere to it remains something I recommend. Remember that my approach to nutrition in the OP is that effect sizes are small and you should focus your efforts elsewhere.

At last, we have reached convergence! I disagree slightly (the most recent article you linked again does not find significant differences between vegans and vegetarians as far as I can tell) but I'm fine calling that "slight evidence". The problem was that the OP said:

Ovo-lacto vegetarians live significantly longer than vegans

Which doesn't sound like it's true in either the statistical nor the colloquial sense of the word. Right? So can we just remove that sentence pretty please?